Evidence map›Paper›PMID 32866715›Full record

ArticleSocial science & medicine (1982)2020

Waiting for care: Chronic illness and health system uncertainties in the United States.

Amanda A Lee, Aimee S James, Jean M Hunleth

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

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  9. Life-Stage and Contextual Factors of Advance Care Planning Among Older Adults With Limited Income.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
    Article
  10. Impact of Insurance Type on Access to Pediatric Surgical Care.Plastic and reconstructive surgery. Global open · 2024
    Article
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  20. Psychological Resilience and Coping Among Women Living With Chronic Hypertension in Rural Uganda.Inquiry : a journal of medical care organization, provision and financing
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Amanda A LeeWashington University School of Medicine, 660 S. Euclid Avenue, Campus Box 8100, St. Louis, MO, 63110, USA; University of Arizona, School of Anthropology, 1009 E. South Campus Drive, Room 210, Tucson, AZ, 85721, USA.
Aimee S JamesWashington University School of Medicine, 660 S. Euclid Avenue, Campus Box 8100, St. Louis, MO, 63110, USA.
Jean M HunlethWashington University School of Medicine, 660 S. Euclid Avenue, Campus Box 8100, St. Louis, MO, 63110, USA. Electronic address: jean.hunleth@wustl.edu.

Funding

Understanding and addressing cost related nonadherence to medication: a mixed method multi-phase studyR01MD010445 · NIMHD · WASHINGTON UNIVERSITY · PI JAMES, AIMEE S · 2016 to 2018
$1.1M
NIMHD NIH HHS R01 MD010445
6 · The paper itself

Abstract

Structures of power and inequality shape day-to-day life for individuals who are poor, imposing waiting in multiple forms and for a variety of services, including for healthcare (Andaya, 2018a; Auyero, 2012; Strathmann and Hay, 2009). Constraints, such as the age requirements for Medicare, losing employer-provided health insurance, or the bureaucracy involved in filing for disability often require people to wait to follow recommendations for medical treatments. In 2016-2017, we conducted 52 narrative interviews in St. Louis, a city with significant racial and economic health inequities and without Medicaid expansion. We interviewed people with one or more chronic illnesses for which they were prescribed medication and who identified as having difficulties affording their prescriptions. Throughout the interviews, participants frequently recounted 1) experiences of waiting for care, along with other services, and 2) the range of strategies they utilized to manage the waiting. In this article, we develop the concept of active waiting to describe both the lived experiences of waiting for care and the responses that people devise to navigate, shorten, or otherwise endure waiting. Waiting is structured into healthcare and other social services at various scales in ways that reinforce feelings of marginalization, and also that require work on the part of those who wait. While much medical and public health research focuses on issues of diagnostic or treatment delay, we conclude that this conceptualization of active waiting provides a far more productive frame for accurately understanding the emotional and physical experiences of individuals who are disproportionately poor and made to wait for their care. Only with such understanding can we hope to build more just and compassionate social systems.

Indexed as

Insurance, HealthMedicareAgedChronic DiseaseDelivery of Health CareHumansMedicaidUnited StatesWaiting ListsChronic illnessHealth inequalitiesPovertySocial servicesUnited StatesWaiting for care

Identifiers

PMID32866715
PMCPMC7435333

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.